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ESRD QIP - Anemia - Payment Year 2015

Row numberFacility NameCMS Certification NumberAlternate CCN 1Alternate CCN 2Alternate CCN 3Address 1Address 2CityStateZip CodeNetworkHemoglobin gt 12 g/dL Performance RateHemoglobin gt 12 g/dL Measure ScoreNational Avg Hemoglobin gt 12 g/dL Measure Score
651FMC-WEST LOS ANGELES052882301 NORTH PRAIRIE AVENUE, SUITE 100INGLEWOODCA90301180%1010
652DAVITA-SAN DIEGO EAST052883292 EUCLID AVENUE, SUITE 100SAN DIEGOCA92114180%1010
653WHITTIER KIDNEY DIALYSIS CENTER05288416417 EAST WHITTIER BOULEVARDWHITTIERCA90603180%1010
654FMC-DIALYSIS SERVICES OF PARADISE0528856919 PARADISE VALLEY ROADSAN DIEGOCA92139180%1010
655FMC-DIALYSIS SERVICES OF COLLEGE0528864660 EL CAJON BOULEVARD, SUITE 110SAN DIEGOCA92115180%1010
656SATELLITE DIALYSIS WINDSOR0528878911 LAKEWOOD DRIVE, STE16WINDSORCA95492170%1010
657PARKWAY KIDNEY CENTER0528882200 PLAZA PARKWAY, SUITE B1-B4MODESTOCA95350170%1010
658FMC-NORTH LONG BEACH052889145 WEST VICTORIA STREETLONG BEACHCA9080518N/A10
659FMC-ANTELOPE VALLEY05289044950 VALLEY CENTRAL WAY, SUITE 108LANCASTERCA93536180%1010
660WELLBOUND OF SAN JOSE LLC0528911525 MERIDIAN AVENUE SUITE 101SAN JOSECA95125170%1010
661SOLEDAD DIALYSIS CENTER052892901 LOS COCHES DRIVESOLEDADCA93960170%1010
662TEMPLE CITY DIALYSIS FACILITY, INC.0528939945 LOWER AZUSA ROADTEMPLE CITYCA91780180%1010
663RAI-MONROE-INDIO05289446-767 MONROE STREET, SUITE 101INDIOCA92201180%1010
664DAVITA-LAKE ELSINORE DIALYSIS CENTER05289532291 MISSION TRAILLAKE ELSINORECA92530180%1010
665DAVITA-CERRITOS DIALYSIS05289619222 PIONEER BOULEVARD, SUITE 101CERRITOSCA90703180%1010
666DAVITA-TUSTIN DIALYSIS CENTER0528972090 NORTH TUSTIN AVENUE, SUITE 100SANTA ANACA92705180%1010
667RAI-LAGUNA CANYON-IRVINE05289816255 LAGUNA CANYON ROADIRVINECA92618180%1010
668KIDNEY CENTER OF LOS ANGELES0528991125 WEST 6TH STREET, SUITE 101LOS ANGELESCA90017180%1010
669CHILDRENS HOSPITAL CENTRAL CALIFORNIA0533000524009300 VALLEY CHILDRENS PLACEMAIL STOP SE 13MADERACA9363617N/A10
670CHILDRENS HOSPITAL OF LOS ANGELES0533020523214650 SUNSET BOULEVARD - BOX 40DIVISION OF NEPHROLOGY (DIALYSIS)LOS ANGELESCA9002718N/A10
671CHILDRENS HOSPITAL OF SAN DIEGO0533030523953020 CHILDRENS WAY, MC 5115SAN DIEGOCA9212318N/A10
672LUCILE PACKARD STANFORD PEDIATRIC DIALYSIS053305052390725 WELCH ROAD PEDIATRIC DIALYSIS ROOM 1229PALO ALTOCA9430417N/A10
673PEDIATRIC DIALYSIS UNIT AT UCSF053501400 PARNASSUS ROOM A127BOX 0314SAN FRANCISCOCA9414317N/A10
674KAWEAH DELTA DIALYSIS FACILITY0535065040 WEST TULARE AVENUEVISALIACA93277180%1010
675PORTERVILLE HEMODIALYSIS FACILITY053512052457385 NORTH PEARSON DRIVEPORTERVILLECA93257180%1010
676ROSE GARDEN DIALYSIS CENTER053520999 WEST TAYLOR STREETSAN JOSECA95126170%1010
677MEE MEMORIAL HOSPITAL-DIALYSIS053521050189809 BROADWAY SUITE AKING CITYCA93930170%1010
678UC CHRONIC DIALYSIS/MT. ZION0535231675 SCOTT STREETSAN FRANCISCOCA94115170%1010
679COMMUNITY DIALYSIS CENTER - CLOVIS053524685 MEDICAL CENTER DRIVE WEST #105XCLOVISCA93611172%610
680COMMUNITY DIALYSIS CENTER053525285 NORTH FRESNO STREETFRESNOCA93701170%1010
681SAN JOAQUIN GENERAL HOSPITAL0535260501677783 SOUTH FREEDOM ROADFRENCH CAMPCA95231170%1010
682ST. JOSEPH HOSPITAL DIALYSIS CENTER-SANTA ANA0535270524022212 EAST 4TH STREET, SUITE 101SANTA ANACA92705182%610
683UNIVERSITY OF CO HOSPITAL - DIALYSIS06002406230312605 EAST 16TH AVENUEAURORACO80045158%410
684ROCKY MOUNTAIN DIALYSIS (FMC)0625014600 HALE PARKWAY SUITE 120DENVERCO80220150%1010
685LAKEWOOD DIALYSIS (DVA)0625021750 PIERCE STREETLAKEWOODCO80214150%1010
686NORTHERN COLORADO KIDNEY CENTER (FMC)0625051213 RIVERSIDE AVENUEFORT COLLINSCO80524152%610
687PIKES PEAK DIALYSIS CENTER (DVA)0625072002 LELARAY STREET SUITE 130COLORADO SPRINGSCO80909151%810
688GREELEY DIALYSIS (FMC)0625102343 WEST 27TH STREET SUITE 503GREELEYCO80634150%1010
689THORNTON DIALYSIS (DVA)0625118800 FOX DRIVETHORNTONCO80260153%410
690AURORA DIALYSIS (DVA)0625141411 SOUTH POTOMAC STREET SUITE 100AURORACO80012150%1010
691WESTMINSTER DIALYSIS (DVA)0625169053 HARLAN STREET SUITE 90WESTMINSTERCO80030150%1010
692BOULDER DIALYSIS (DVA)0625172880 FOLSOM STREET SUITE 110BOULDERCO80304150%1010
693SOUTH DENVER DIALYSIS (DVA)062518850 EAST HARVARD AVENUE SUITE 60DENVERCO80210150%1010
694LITTLETON DIALYSIS (DVA)062519209 WEST COUNTY LINE ROADLITTLETONCO80129150%1010
695PUEBLO DIALYSIS (FMC)06252041 MONTEBELLO ROAD SUITE 200PUEBLOCO81001150%1010
696ARVADA DIALYSIS CENTER (DVA)0625219950 WEST 80TH AVENUE SUITE 25ARVADACO80005150%1010
697CANON CITY DIALYSIS (FMC)0625222245 FREMONT DRIVECANON CITYCO81212150%1010
698LOVELAND DIALYSIS (FMC)0625232940 GINNALA DRIVELOVELANDCO80538150%1010
699PRINTERS PLACE DIALYSIS CENTER (DVA)0625242802 INTERNATIONAL CIRCLECOLORADO SPRINGSCO80910150%1010
700LA JUNTA DIALYSIS (FMC)0625251116 CARSON AVENUELA JUNTACO81050150%1010

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cms cms

created Oct 23, 2012

updated Jan 21, 2015

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QIP data by facility: % patients with Hgb >12.

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